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https://doi.org/10.21256/zhaw-28776| Publication type: | Article in scientific journal |
| Type of review: | Peer review (publication) |
| Title: | Maintaining autonomy : how older persons with chronic conditions and their significant others interpret, navigate, and overcome everyday difficulties |
| Authors: | Ballmer, Thomas Michael Gantschnig, Brigitte |
| et. al: | No |
| DOI: | 10.1080/11038128.2023.2249959 10.21256/zhaw-28776 |
| Published in: | Scandinavian Journal of Occupational Therapy |
| Volume(Issue): | 31 |
| Issue: | 1 |
| Page(s): | 2249959 |
| Issue Date: | 7-Sep-2023 |
| Publisher / Ed. Institution: | Taylor & Francis |
| ISSN: | 1103-8128 1651-2014 |
| Language: | English |
| Subjects: | Autonomy; Chronic illness; Elderly; Identity; Occupational therapy |
| Subject (DDC): | 305: Groups (age, origine, gender, income) 307: Communities |
| Abstract: | Background: The vast majority of older adults live in their own homes. Many of them live with chronic conditions that lead to activity limitations and participation restrictions. To support them adequately, we need to better understand how they cope with everyday difficulties. Aim: To identify and examine difficulties in everyday life older people with chronic conditions who live in private homes face and how they and their significant others interpret, navigate, and overcome these difficulties. Material and Methods: We conducted a focus group interview with 10 participants including eight older adults with chronic conditions and two of their significant others. We then transcribed the interviews verbatim and thematically analysed them. Results: We generated the three closely interrelated themes struggling not to lose control, a shifting balance between resources and environmental challenges, and negotiating independence and interdependence. Participants interpreted the difficulties they faced as multicausal. Their main goal was maintaining autonomy, agency, and a positive identity. They employed individual, creative strategies to achieve these goals. Conclusions: Older persons with chronic conditions prioritise autonomy and agency in order to maintain a positive identity. Significance: Interventions to support older persons with chronic conditions should centre their priorities and build on their creativity. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/28776 |
| Fulltext version: | Published version |
| License (according to publishing contract): | CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International |
| Departement: | School of Health Sciences |
| Organisational Unit: | Institute of Occupational Therapy (IER) |
| Published as part of the ZHAW project: | Präventive Wohnraumanpassung |
| Appears in collections: | Publikationen Gesundheit |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| 2023_Ballmer-Gantschnig_Maintaining-autonomy.pdf | 497.55 kB | Adobe PDF |  View/Open |
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Ballmer, T. M., & Gantschnig, B. (2023). Maintaining autonomy : how older persons with chronic conditions and their significant others interpret, navigate, and overcome everyday difficulties. Scandinavian Journal of Occupational Therapy, 31(1), 2249959. https://doi.org/10.1080/11038128.2023.2249959
Ballmer, T.M. and Gantschnig, B. (2023) ‘Maintaining autonomy : how older persons with chronic conditions and their significant others interpret, navigate, and overcome everyday difficulties’, Scandinavian Journal of Occupational Therapy, 31(1), p. 2249959. Available at: https://doi.org/10.1080/11038128.2023.2249959.
T. M. Ballmer and B. Gantschnig, “Maintaining autonomy : how older persons with chronic conditions and their significant others interpret, navigate, and overcome everyday difficulties,” Scandinavian Journal of Occupational Therapy, vol. 31, no. 1, p. 2249959, Sep. 2023, doi: 10.1080/11038128.2023.2249959.
BALLMER, Thomas Michael und Brigitte GANTSCHNIG, 2023. Maintaining autonomy : how older persons with chronic conditions and their significant others interpret, navigate, and overcome everyday difficulties. Scandinavian Journal of Occupational Therapy. 7 September 2023. Bd. 31, Nr. 1, S. 2249959. DOI 10.1080/11038128.2023.2249959
Ballmer, Thomas Michael, and Brigitte Gantschnig. 2023. “Maintaining Autonomy : How Older Persons with Chronic Conditions and Their Significant Others Interpret, Navigate, and Overcome Everyday Difficulties.” Scandinavian Journal of Occupational Therapy 31 (1): 2249959. https://doi.org/10.1080/11038128.2023.2249959.
Ballmer, Thomas Michael, and Brigitte Gantschnig. “Maintaining Autonomy : How Older Persons with Chronic Conditions and Their Significant Others Interpret, Navigate, and Overcome Everyday Difficulties.” Scandinavian Journal of Occupational Therapy, vol. 31, no. 1, Sept. 2023, p. 2249959, https://doi.org/10.1080/11038128.2023.2249959.
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